The Global Fund to Fight AIDS, Tuberculosis and Malaria
Since 2000, the fight against the diseases of poverty has turned from resignation to one driven by “evidence-based hope”. Motivated by a desire to ensure sustainable development for a safe, just world at the outset of a new century, the global community committed to setting specific targets for poverty reduction, disease control and other critical factors for international development through the Millennium Development Goals and provided unprecedented levels of resources to fight AIDS, tuberculosis (TB), malaria and vaccine-preventable diseases.
The Global Fund to Fight AIDS, Tuberculosis and Malaria was established in 2002 as a major tool for the world community to ensure that increases in resources would be used effectively and turned into improved health services, strengthened health systems and lives saved in developing and middle-income countries worldwide.
In line with the internationally agreed strategies for fighting the three diseases effectively, the Global Fund has supported comprehensive prevention, treatment and care programs in 151 countries through investments of US$ 22.9 billion. By December 2008, more than six million people who otherwise would have died of AIDS, TB or malaria over the past five years were alive as a result of the interventions delivered by programs supported by the Global Fund.
This estimate is calculated from the results Global Fund-supported programs achieved by 1 December 2011:
• 3.6 million people on ARV therapy for HIV
• 9.6 million people provided with effective TB treatment
• 270 million insecticide-treated bed nets distributed to protect families from malaria.
The Global Fund is a major investor in health systems. So far, approximately 35 percent of Global committed funding (US$ 4.2 billion) has been intended to bolster infrastructure, strengthen laboratories, expand the numbers of human resources, augment skills and competencies of health workers, and develop and support monitoring and evaluation systems. Countries are now able to specifically request funding health systems strengthening as part of disease specific grant applications. Since 2007, US$ 660 has been committed for “cross-cutting” health system strengthening actions that apply to more than one the three diseases. Flexibilities in Global Fund financing have been successfully utilized by countries to strengthen health systems:
Global Fund investments have helped accelerate progress toward the achievement of a number of the Millennium Development Goals by 2015. The Global Fund estimates that annually it provides around 57 percent of all international financing for TB, 60 percent for malaria and 23 percent of all financing for HIV. The progress in malaria and TB control is contributing significantly to achieving Millennium Development Goals 4 and 6, which call for a reduction of child mortality by 50 percent and the reversal of malaria and TB incidence, respectively.
Partnership is at the heart of the Global Fund model. As it does not have country offices, the Global Fund relies on partners to design, implement and monitor the programs in which it invests. Both at the global and at the country level, the Global Fund strives to work in close collaboration with its partners to maximize the effectiveness of its financing.